Senior Health Virtual RN
7 days ago
Mass General Brigham Health Plan is seeking a highly skilled Registered Nurse to join our team as a Senior Clinical Quality Assurance Nurse Auditor. This role is responsible for coordinating clinical quality assurance activities, including training and auditing materials, and performing audits to evaluate individual compliance with clinical processes and regulatory requirements.
Key Responsibilities:- Coordinate clinical quality assurance activities, including training and auditing materials
- Perform audits to evaluate individual compliance with clinical processes and regulatory requirements
- Work closely with the Clinical Quality Assurance & HEDIS Manager to monitor, maintain, and support the clinical department
- Participate in departmental and organizational project teams and play a critical role in project implementation
- Develop written summaries of specific key areas of training required for clinical staff based on audit results
- Monitor staff adherence to designated NCQA UM, NCQA Complex Care Management (CCM), Quality Improvement (QI) and other standards
- Communicate recommendations for operational changes based on survey findings to Quality and Clinical leadership
- Registered Nurse with 5-10 years of clinical experience in a healthcare setting
- Quality Assurance auditing experience a plus
- NCQA experience preferred
- Complex Care Management experience preferred
- Utilization Management (InterQual) experience preferred
- Excellent planning, coordination, and facilitation skills
- Ability to translate and communicate complex topics in a variety of forums
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. We are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated. We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.
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Senior Health Virtual RN
1 week ago
Somerville, Massachusetts, United States Mass General Brigham Full timeJob Title: Senior Clinical Quality Assurance Nurse AuditorMass General Brigham Health Plan is seeking a highly skilled Registered Nurse to join our team as a Senior Clinical Quality Assurance Nurse Auditor. This role is responsible for coordinating clinical quality assurance activities, including training and auditing materials, and performing audits to...
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Registered Nurse
4 days ago
Somerville, Massachusetts, United States Mass General Brigham Full timeJob Title: Registered Nurse - Home Health Virtual CareMass General Brigham is seeking a Registered Nurse (RN) to join our Home Health Virtual Care team. As a Registered Nurse, you will provide high-quality, patient-centered care to patients in their defined living space.Job Summary:The Registered Nurse - Home Health Virtual Care will be responsible for...
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Night Shift Registered Nurse
1 week ago
Somerville, Massachusetts, United States Mass General Brigham Full timeJob Title: Night Shift Registered Nurse - Home Health Virtual CareMass General Brigham is seeking a skilled Registered Nurse to join our Home Health Virtual Care team in Somerville, Massachusetts.About the Role:This is a 36-hour night shift position that requires the ability to work independently and as part of a team to provide high-quality patient care....
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Night Shift Registered Nurse
1 week ago
Somerville, Massachusetts, United States Mass General Brigham Full timeJob Title: Night Shift Registered Nurse - Home Health Virtual CareMass General Brigham is seeking a skilled Registered Nurse to join our Home Health Virtual Care team in Somerville, Massachusetts.About the Role:This is a 36-hour night shift position that requires the ability to work independently and as part of a team to provide high-quality patient care....
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Registered Nurse Home Hospital Virtual Care
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Night Shift Registered Nurse
1 week ago
Somerville, Massachusetts, United States Mass General Brigham Full timeJob Title: Night Shift Registered Nurse - Home Health Virtual CareMass General Brigham is seeking a skilled Registered Nurse to join our Home Health Virtual Care team in Somerville, Massachusetts.About the Role:This is a 36-hour per week, night shift position that requires the ability to work independently and as part of a team to provide high-quality...
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RN Medical Office- Women's Care Clinic
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Somerville, Massachusetts, United States Mass General Brigham Full timeAbout the RoleMass General Brigham is seeking a highly skilled Registered Nurse (RN) Ambulatory Care to join our team in Somerville, Massachusetts.Key ResponsibilitiesProvide high-quality patient care in a remote/virtual capacity, working with a team to cover Primary Care work curated for them within their in-basket folders.Assess, diagnose, and treat...
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Bilingual Registered Nurse
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RN Medical Office- Women's Care Clinic
1 week ago
Somerville, Massachusetts, United States Mass General Brigham Full timeAbout the RoleMass General Brigham is seeking a highly skilled Registered Nurse (RN) Ambulatory Care to join our team in Somerville, Massachusetts.Key ResponsibilitiesProvide high-quality patient care in a remote/virtual setting, working closely with primary care physicians and other healthcare professionals.Assess and manage patients' clinical problems and...
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RN Medical Office- Women's Care Clinic
1 week ago
Somerville, Massachusetts, United States Mass General Brigham Full timeAbout the RoleMass General Brigham is seeking a highly skilled Registered Nurse (RN) Ambulatory Care to join our team in Somerville, Massachusetts.Key ResponsibilitiesProvide high-quality patient care in a remote/virtual setting, working with a team to cover Primary Care work curated for them within their in-basket folders.Assess, diagnose, and treat...
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Senior IT Operations Systems Engineer
1 week ago
Somerville, Massachusetts, United States Tufts University Full timeJob Title: Senior IT Operations Systems EngineerJob Summary:We are seeking a highly skilled Senior IT Operations Systems Engineer to join our team at Tufts University. As a key member of our IT department, you will be responsible for designing, implementing, and maintaining systems and technologies used by the Tufts Operations Division.Key...